AUGUST BRUCE WAGNER

PORTLAND, OR
NPI1447017082
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  R8260)
Enumeration Date2024-02-29
Last Update Date2024-02-29
Business Address
AUGUST BRUCE WAGNER
333 SW TAYLOR ST STE 200
PORTLAND, OR 97204-2446
Phone number: 503-446-2500
Mailing Address
AUGUST BRUCE WAGNER
17570 NW CORNELL RD APT 7
BEAVERTON, OR 97006-8641
Phone number: 970-567-5203